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Objetivo: Determinar los factores pronósticos de severidad en pacientes con pancreatitis aguda (PA) en el Hospital Nacional Sergio E. Bernales durante el periodo junio 2016 a junio 2018. Métodos: Estudio de casos y controles, siendo los casos los pacientes con pancreatitis moderada o severa y los controles los de pancreatitis leve. Los datos para las variables evaluadas fueron obtenidos a partir de la revisión de historias clínicas. Se usó chi-cuadrado para evaluar la asociación y se hallaron los OR con sus respectivos IC 95%. Se utilizó programa SPSS 25. Resultados: Se revisaron 162 historias clínicas de los cuales 54 (33,3%) pacientes desarrollaron pancreatitis aguda moderadamente severa y 108 (66,7%) cursaron con pancreatitis agula leve. De las pancreatitis aguda moderadamente severa y pancreatitis aguda severa 55,6% fueron hombres; mientras que en las pancreatitis agula leve el sexo femenino fue el predominante con un 91,7 %. La mayoría fue de origen biliar con un 83,3%. Los factores asociados a pancreatitis aguda moderadamente severa/pancreatitis aguda severa incluyeron tener más de

The mental health of medical students around the world has been affected by the presence of anxiety and depression. According to the World Health Organization, more than 260 million people suffer from anxiety and approximately 300 million people suffer from depression. Objective: To determine the association between anxiety and depression in medical students at Ricardo Palma University during the 2021-II academic year. Materials and Methods: Observational, analytical, cross-sectional and quantitative study. From a population of 2046 medical students from the first to the seventh year of studies, the size of the sample obtained was 110 students. The data obtained was collected through Google Forms. Results: Of the medical students, 85.46% manifested some degree of anxiety and 50% manifested some degree of depression. These pathologies occurred more frequently in the female sex, low socioeconomic level and in those who had clinical courses. A statistically significant association was found between anxiety and depression (p: 0.038), and between low socioeconomic status and depression (p: 0.004). No statistically significant association was found between female sex and depression, nor between pre-clinical courses and depression. Conclusions: High prevalences of anxiety and depression were found in medical students at the Ricardo Palma University. In addition, a statistically significant association between anxiety and depression was evidenced (p: 0.038). For this reason, it is recommended to implement a psychological accompaniment throughout the medical university career.

Introduction: Fetal macrosomia is an embarrassing condition that causes complications in short, medium and wide placenta for the fetus, both pregnant and pregnant. Objectives: To determine the maternal factors associated with fetal macrosomia following the national demographic and health survey 2020. Materials and methods: Observational, retrospective, analytical, cross-sectional study carried out in the ENDES survey in the period 2020 to 5096 women aged 12 to 49 years who they meet the established criteria. For the statistical analysis, SPSS version 25 is used, the F sample corrected for complete samples and a significance level of 0.05. Results: The prevalence of fetal macrosomia is 7.5%. Multivariate analysis found that, among personal factors, maternal edema has a significant association with fetal macrosomia (RPa 1.04, 95% IC 1.008 - 1.078). Of the pathological factors, maternal obesity has a significant association with fetal macrosomia (RPa 1.05, 95% CI 1.027 - 1.080). Of the social and demographic factors associated with fetal macrosomia, no variable describes a significant association. Conclusion: It was determined that maternal age over 34 years and maternal obesity are factors associated with a higher prevalence of fetal macrosomia.